Cerdá Magdalena, Nandi Vijay, Frye Victoria, Egan James E, Rundle Andrew, Quinn James W, Sheehan Daniel, Hoover Donald R, Ompad Danielle C, Van Tieu Hong, Greene Emily, Koblin Beryl
Department of Emergency Medicine, School of Medicine, University of California at Davis, Sacramento, CA, USA.
New York Blood Center, Lindsley F. Kimball Research Institute, New York, NY, USA.
Soc Psychiatry Psychiatr Epidemiol. 2017 Jun;52(6):749-760. doi: 10.1007/s00127-017-1379-8. Epub 2017 Apr 5.
We examined the relationship between economic, physical, and social characteristics of neighborhoods, where men who have sex with men (MSM) lived and socialized, and symptom scores of depression and generalized anxiety disorder (GAD).
Participants came from a cross-sectional study of a population-based sample of New York City MSM recruited in 2010-2012 (n = 1126). Archival and survey-based data were obtained on neighborhoods, where the men lived and where they socialized most often.
MSM who socialized in neighborhoods with more economic deprivation and greater general neighborhood attachment experienced higher GAD symptoms. The relationship between general attachment to neighborhoods where MSM socialized and mental health depended on the level of gay community attachment: in neighborhoods characterized by greater gay community attachment, general neighborhood attachment was negatively associated with GAD symptoms, while in low gay community attachment neighborhoods, general neighborhood attachment had a positive association with GAD symptoms.
This study illustrates the downsides of having deep ties to social neighborhoods when they occur in the absence of broader access to ties with the community of one's sexual identity. Interventions that help MSM cross the spatial boundaries of their social neighborhoods and promote integration of MSM into the broader gay community may contribute to the reduction of elevated rates of depression and anxiety in this population.
我们研究了男男性行为者（MSM）生活和社交所在社区的经济、物质及社会特征与抑郁和广泛性焦虑症（GAD）症状评分之间的关系。
参与者来自于2010 - 2012年对纽约市基于人群样本的MSM进行的一项横断面研究（n = 1126）。获取了关于这些男性居住和最常社交所在社区的档案及调查数据。
在经济更贫困且社区归属感更强的社区进行社交的MSM出现更高的GAD症状。MSM社交所在社区的总体归属感与心理健康之间的关系取决于同性恋社区归属感的程度：在同性恋社区归属感更强的社区，总体社区归属感与GAD症状呈负相关，而在同性恋社区归属感较低的社区，总体社区归属感与GAD症状呈正相关。
本研究表明，当与社会社区有紧密联系但缺乏与自身性取向社区更广泛联系时会有不利影响。帮助MSM跨越其社交社区的空间界限并促进MSM融入更广泛的同性恋社区的干预措施，可能有助于降低该人群中升高的抑郁和焦虑发生率。
